Cutler-Heard upper eyelid reconstruction

Treatment of diseases: congenital eyelid defects Indication The upper eyelids were extensively deficient and the eyelids were reconstructed. Preoperative preparation Regular preoperative preparation. Surgical procedure 1. Excision of the upper sacral mass, the entire defect, making it a rectangle. 2. The lower eyelid was cut at the 3~4mm parallel rim of the lower iliac crest, and its length and position corresponded to the upper condyle defect. A full-thickness eyelid incision perpendicular to the inferior temporal margin is made at each end of the incision to reach the bottom of the inferior dome. At this time, the lower iliac margin is a bridge-like structure connected to the crotch on both sides, and the lower jaw is a full-layer transition flap. The sacral transitional flap is passed around the posterior iliac crest to move up the defect. Place a make up in the conjunctival sac. The sacral transition flap is layered and sutured with the upper jaw defect. The wound edge of the inferior temporal margin bridge is intermittently sutured between the skin and the conjunctiva.